Chapter 16
If
Joe Wood had been forty years younger, he would have made a pass at Jeannie
Christopher. He still might, if he ever felt well enough again. Joe enjoyed her
company; he was glad when she was assigned to care for him. He liked the banter
that passed between them.
She
was, he had decided, one of the best people he had ever run into in a long
career as a traveling salesman, a career in which he met more people in a year
than most people met in a lifetime. It was a question of attitude, he decided. Some
of the nurses seemed cold. They might have thought of him as no more than a
piece of meat, to be washed daily, turned to avoid bedsores, poked with
needles, tested, rested and nested safe in his bed. There was a night shift
battle-ax whose sole purpose in life was making his miserable. But Jeannie—J.C.
as the others called her—always seemed to have time to stop for a minute and
talk, tease him and be teased in return. Hell, someone like her would be worth
staying alive for, if he would just stop having these dizzy spells, and the
visions that came along with them.
There
was no other word he could think of to describe the experiences. The episode he
had had when Jones died in the next room still scared him. They told him, the
docs and nurses, that it was because the arteries in his neck got plugged up
that he had these visions. Maybe so, but that was just as scary as if they were
real—maybe scarier.
The
people he saw, talked to, took comfort from, seemed as real to Joe, maybe
moreso, than the people he remembered in his life. He was a loner, always had
been. Parents died young, brothers and sisters scattered in their teens. Hell,
he had led the exodus from that small town in wherever the hell it was.
Midwest, somewhere. Missouri? Didn’t much matter. Thought he was in Texas, now.
Couldn’t be sure, might be Oklahoma, California. Somewhere warm, except for the
cold air coming from the ceiling. Drenched in sweat, feeling a little dizzy. A
wrench from down below, somewhere in the gut. Dizzy was nothing new. Always
called him dizzy as a kid; started when he pitched in Little League.
He
was slipping out again, knew he was whenever he wondered where he’d come from.
Breeze was sure cold. Maybe he was in Minnesota, land of ten thousand—twenty
thousand?—lakes. Might explain why he was wet. Through and through. Shit. Oh,
well, no pants on anyway, so what difference? Wonder where that little nurse
is? Cuter than anything, but tiny. Don’t wanta squash her.
Something
slipped again. Joe felt the lurch. Earthquake? Not in Minnesota.
Joe
felt Marie’s absence. Good to know she was going back. Missed her though, here
in the fog. She played good music. He hummed a few bars from the memory of
another vision, then it too slipped away. Marie was a good one, glad to see her
go back. Didn’t feel right for her to be slipping off like that. Not time for
her yet.
Him?
Jones
was nowhere around. Another man done gone. Couldn’t feel him anywhere. Gone to
his reward, followed Mrs. Perez, who could speak English in the fog, but not in
the bog. Interesting, if weird.
Lonely,
here, this time.
“Don’t
look down.”
A
warning?
He
looked down. Mistake.
He
hung precariously above his bed, dipping and turning in the currents of—not
air, no it sure wasn’t air. Something, though. He saw himself, shell
man, down below, and it was staring at him, eyes open wider than they should
be, mouth stretched in a mortal scream, soundless to him now, but loud, he
knew, in the room, in the hospital, a scream that ripped through defenses like
a knife through the soft belly of an enemy. He felt them running, little J.C.
first, the others behind her, before they entered his room.
He
poised on the edge of the abyss. He should be more scared. But he knew what was
happening to him. He had been on the journey, and he really did know better
than to look down. But he couldn’t help himself. Mom had always chewed his ass
about not obeying her.
Who
the hell said that, anyway? Joe tried to look around, but his gaze was locked
on himself, still screaming in the bed, looking into the pit and not liking it
a bit.
Rhymes,
yet. Must be another attack.
A
filmy silver cord stretched from self to self. J.C. and the others went right
through it. Never noticed him hanging there under the ceiling.
There
were dead bugs in the light fixture. Irrelevant detail, but there they were.
The
cord was thin, diaphanous (a word he knew he had never ever used before),
sparkling like a Roman candle he had held in his hands at six, waving it
through the humid July air so that it made sparkling lines of burning metal. He
passed his hand through the sparks, but they did not burn. Insubstantial,
almost spiritual, but so bright they hurt his eyes in the moist hot night time.
Somehow, he had known not to touch the source.
The
cord was like that, weaving between the two Joes, sparking and silent.
Metaphor
seemed more important. Everything was like something, but not quite.
No
metaphor for that. There was nothing like. It was all new. Not uncomfortable,
but so different that he could not talk to himself about how it was.
The
place was sealed: no way out. He went in search of an exit, leaving them below,
stretching the silver cord. Time to go. Nothing here but the usual. An
adventure in the making. Joe Wood, the Marlon Perkins of hallucination, the
Jacques Cousteau of TIA’s, the Neil Armstrong of the deranged brain.
If
he was deranged, he would by God enjoy it. To hell with the pit.
He
slipped on his old baseball cap and took off through the wall (St. Paul hadn’t
said anything about spiritual baseball caps, had he?). It was a Rangers cap, a
pretty spiritual team, when you stopped to think about it; they played year
after year with only the rarest hope of winning.
The
thought passed. So did Joe.
Walls,
it turned out, were complicated things in a hospital. There was more plumbing
than he knew. Oxygen tubes, painted green, snaked between the sheets of gypsum,
boring through studs, snaking up from somewhere down below.
He
played in the interstices, following water, gas, electrical lines, the cables
that channeled data from patient to monitor. Each felt different. He stayed
with each as long as it was interesting. He surfed the sixty cycle wave of
alternating current down to the breakers in the basement and to the crest of
the transformers, where he was changed to a pulse of hot water, burbling
through the copper pipes. Someone opened a pressure valve, and Joe was released
as steam in a room off the surgery suite. He expanded, no choice but to obey
Boyle’s law, until he condensed as a lens of water. Someone wiped him away and
wrung him out over a drain. He fell with others who were not of his own kind
down the drain, mixed with them, felt an awful suction, pulling down hard.
He
resisted and broke free. He was still in the pipe, but the water flowed around
and through him. He was in darkness, able to sense things around him—dark
shapes, someplace between here and there, undefined chunks of insubstantial
matter that he knew he could penetrate if he could just remember how.
I
am very confused, he thought.
Good,
Something answered. I told you not to look down.
It’s
not like the other times, Joe complained.
Trust
me, Something said. You don’t have much choice, anyway.
I
noticed that, Joe told It. This time there was no reply. He forced himself
to keep his eyes (eyes, huh?) focused upward.
The
empty shapes seemed to close in. Joe felt squeezed, then shot upward, away from
the sewer, spilling up through the drain or the sink in the room next to his.
He recognized it from when he had been admitted to the hospital in the first
place. It was what they called the “crash room,” a little bigger than the other
rooms in ICU, with a little more equipment, a little more space for the staff
to work around the bed.
He
was not alone. There were three other people in the room with him, two in their
bodies and one like him but unlike him, too. It seemed to shuttle back and
forth between the other two, two women, one young, one old. When it shifted
between them he could see it.
Something
had sent Joe here.
The
thing that shifted between the old woman and the young was ugly and mean. It
recognized Joe’s presence. It did not like him a whole lot.
Joe
tried to escape, but the walls, ceiling and floor became impermeable and held
him prisoner with the thing. It reached a tendril at him, not of matter but of
energy, soul-stuff. Joe shrank away. The thing seemed content with that. The
tendril returned to the thing, which spread itself over the body on the bed.
Only a small lump protruded above the natural shape of the old woman, an excrescence
that reminded Joe of the old CBS eye.
It
watched him watching it.
The
younger woman massaged the thing as it clung to the body of the older. She
hated what she was doing. She averted her face, choking down terror and nausea,
but her hands were busy, spreading some greasy yellow substance on the old
woman’s skin. She watched the door, listening for approaching footsteps. But
there would be none, Joe knew, because he was distracting everyone on the unit
with his out of body experience, his code. He wondered how his body was doing.
What he was being forced to witness repulsed him. What he was being forced to
watch he knew he would have to stop.
What
had happened to the land of milk and honey in the sweet bye and bye? This was
nothing like what he had been led to believe in. It wasn’t supposed to be hard
to go to heaven—to hell, for that matter, he guessed. What about eternal rest?
The
eye frightened him. If it could speak, would it say You’re next?
The
thing seemed to preen like a cat under the younger woman’s hands. It sucked
vitality, fed on life, on the intricate bemusing chemistry of the being it
enfolded, the flux of sodium and potassium in the nervous system, the
mechanical pump of heart and artery, the electrical dance of impulse in the brain—anything
from which it could drain power.
The
tic on the old woman’s face was growing stronger as the beast reveled in the
slow devouring of its prey. The younger woman saw the change and tried
uselessly to pull her hands away, to escape her unwilling collaboration with
the evil thing.
Joe
felt a sudden rush of understanding, a gush of knowledge into him from the
Something that had spoken to him in the drain.
The
thing did not want to kill its victim. It was like a cancer, feeding on her,
unwilling to finish her off, a parasite that would make her live as long as
possible, giving itself a perverse sort of shadow existence.
Another
gush told Joe that it was not as purely evil as it seemed. It was afraid of
him, of everything. It would not let the woman go because it was afraid of what
would happen to itself if it released her.
Well,
thought Joe, what would happen?
Silence
answered. The rush of information stopped, as if Something had turned off a
tap.
All
alone now. He had to get between the thing and its prey. If he had been in his
body, a wave of nausea would have shot through him. But he was not in his body.
He had no cold sweat, no clenching of the muscles of his belly. No belly.
It
was not enough just to want to help.
The
certainty of his fix melted through him. It wasn’t the land of milk and honey
yet, not by a long shot. He had figured on release, but it was not yet to be.
There was something to do, even if he was dying.
The
younger woman wept silently, her hands never pausing in their ghostly massage.
He tasted her fears, felt himself inside her pain. The thing seemed to need the
ointment. She was trapped, unable to stop. Then he had it: without the hateful
salve, the thing would leave the old woman, jump to someone else, someone
healthy and unsuspecting. The salve held it in place.
Where
it had come from, Joe had no idea. It did not seem important. The thing itself
did not know. It existed in this middle ground without memory, only knowing
that it had to feed.
This
must be how ghost stories started. Now he was in one.
Everything
he paused to think about was a delaying tactic. He was keeping himself from the
moment of choice. Hell, he was failing to close the sale.
He
let himself drift away from the wall where he was huddling. He was invisible to
the young woman, but not to the thing. It noticed his movement, alerted itself.
It was as afraid as he was.
He
moved toward the bed. Slowly. It would not be surprised.
Joe
spread himself out, like an amoeba about to engulf its prey, around the old woman
and the beast that rode her. The younger’s hands went through his insubstantial
self. He could feel their movements. The thing stiffened under him, within him.
It looked for something to grab onto, to snare and destroy. It was closer to
matter than he was. It held nothing, was engulfed by nothing. Joe contained the
old woman and the thing.
It
struggled, shrieking soundlessly with a pain that, until this moment, Joe could
never have imagined. The woman within him stiffened in a grand mal convulsion.
The thing heaved inside Joe’s enclosing grasp. Joe held on, containing the
thing in spite of its agony, trying to drain off the lonely pain, cuddling it
against the dry rasp of the world it had known. He gentled the thing, as a
mother gentled a child screaming with night terror, protecting it from its own
destructiveness.
There
was no time in Joe’s consciousness. The struggle lasted until it was over.
There was no sequence to events once Joe slipped around the creature.
It
hurt, and Joe contained its pain.
The
hurt stopped. The thing wondered at the end of pain, noticed Joe, lashed out.
Joe
hurt, and Joe contained the pain, refused to turn it back against its source,
let the pain slip out and dissipate, not fighting, but enduring. His
consciousness wondered at the ability. He had not thought of himself as a
healer.
The
hurt stopped again. The thing quit.
Joe
separated them from the body of the old woman. The younger slipped her hands
away, fell to her knees, and threw her arms around her mother, weeping again,
but joyfully.
What
to do?
He
felt as if he had a tiger by the tail. What could happen if he let go?
He
withdrew from the two women. He held his own salvation and his own problem
inside himself.
The
thing was a person, once. It could be again. But the healing of it was beyond
him. He removed it from the place where it could easily attach itself again to
its victim.
He
needed the Something that had spoken to him before. He called.
It
came.
Jesus
Christ! Joe thought.
Its
power rocked him, even in his insubstantial condition. He opened like a flower
under the sun, without willing it, without even a thought of refusal. He was
taken by its power, emptied of the thing he had removed from the old woman. He
did not even sense it going.
When
he regained his bearings, he was alone again, something like a ghost himself.
The
hospital peppered him with others’ pain. He recoiled away from awareness,
seeking the haven of his body, where flesh muted perception.
The
people were still in his room. His bedclothes were in a heap in the corner. The
doctors and nurses moved purposefully around him, wielding needles, medicines,
tubes, machines and papers.
Joe
tried to come back in, but seemed to bounce away. It was as if two similar
electrical charges were trying to approach each other. The closer he got to
himself, the greater the force pushing him away. He gathered his energies and
tried to force his way back in, and found himself pushed out into the hall
again.
The
sensation—probably the wrong word, considering that he had no sense organs in
his present condition—felt so hateful that he began to propel himself away,
willing a greater separation from the physical body he left lying on the bed,
in the hands of those people trying to make him live, even though it might mean
that he would finally die dead.
He
through he might be having his last TIA, a real stroke, this time. But he could
not get back. He sought relief from the repulsive force in retreat. Matter did
not matter, but he could choose not to see through the walls, not to perceive
the insults to his body, to place matter between himself and the repulsive
force. He ducked into Jonquil’s room.
If
he had been in his body, he would have been panting with exertion and relief.
Without the claims of his body, he was disoriented. He missed the glandular
flood, the pulmonary tide, the throb of a straining heart. He was not, he
discovered, quite ready to die, after all.
The
lack of internal sensation seemed to make him hyperconscious of events around
him. Jonquil’s behavior was wrong. She was out of bed, trailing wires and
tubes. If the code had not been in progress, J.C. would have been in the room
in seconds to find out what was going on.
Jonquil
peeked out the window to the nurses’ station, made sure no one was watching.
The nurses not involved with the code were acting busy with their own patients,
while keeping an ear cocked to the activity in his room. He remembered hearing
J.C. complain that they spent too much time crowding in on things that were
none of their business. The code was too attractive, too dramatic a
confrontation with the secret of death to be easily ignored.
Joe
could tell them a secret or two. They might not like it as much if they knew
what he knew.
A
door opened in Joe’s perception. Jonquil was sure of solitude now, as furtive
and quick in her movements as her weakened heart would allow. Her memory of the
crushing pain and pressure in her chest reached Joe, and he understood her
desperation. Jonquil had never known greater ugliness than that pain. It
undermined her belief in what she was. She became helpless at its touch. Her
self-possession flew away when the pain came, and its loss was more painful
than the pain itself. It made her ugly, deep in the recesses of her self, where
she thought she was eternally safe, the part of her hidden from the ones who
thought they loved her. She knew that they could not maintain the fiction of
affection, not even her husband, Henry, when she was disfigured by the
oppressive weight of the pain.
If
beauty’s appearance faded, what was left of beauty?
They
had not met, although they slept only a few feet apart, tended by the same
nurses. But Joe felt as if he knew the woman sneaking around her room. She was
open to him in a way that, if she knew, would appall her. He had access to her
memories, knew her feelings and fears. If Jonquil had her way, no one would
have seen her face to face in the years since her angina had begun. She put a
false face on everything about herself, because the real Jonquil, if she even
existed, believed in a world where appearance was all that ever mattered.
Joe
sought the reasons for her conviction, and found one in a family that saw only
the surfaces of its members. Mother never appeared to Father with less than
perfect hair and makeup. Mother got up an hour before Father to fix her face
after the ravages that a pillow could wreak on her night time makeup. The
children were bathed and dressed and perfumed before being allowed downstairs
in the morning. The house was dusted every day by nine, in case a repairman or
salesman might call. It was a compulsive house, where outward behavior was more
important than inner feeling.
Now
it would kill Jonquil before she needed to die.
She
grunted as she lifted the corner of her mattress under pillow and scooped out
her secret cache of cigarettes, morphine and Demerol. A sudden surge of pain
struck her; she staggered with her lethal load, dropping the mattress heavily
back onto the frame and her equipment on top of it. She breathed heavily, and her
hand clutched at her chest.
Joe
wanted to stop her. He propelled himself down from his spot near the corner
where two walls and the ceiling met. He reached for Jonquil’s arm; his hand
went through her. He tried again, this time aiming to sweep the collection of
syringes off the bed to the floor, breaking them and making them useless. He
slipped right through the drug ampoules as well.
Damn
this spiritual body.
You
don’t really mean that.
Help
her! Stop her.
Go
back. Wake up. Tell them.
Joe
did not have to struggle for breath in his present state. He did not get dizzy
from the constriction of the carotid arteries left behind in his body. His
chest did not ache. He was free of the confines of his body, its corporeal
limitations, its wrinkles and age-induced inadequacies. He felt good, damnit,
for the first time in years. He was damned if he’d give that up.
Exactly.
Huh?
Look
at her again.
Joe
had no choice but to obey.
Jonquil
lay back on the bed, breathing heavily. She picked up one of the syringes.
Joe’s vision seemed to zoom in on the ampoule. Morphine sulfate carpuject.
The
ampoules were tiny, only a few cc’s each.
Jonquil
smiled, a bitter grimace full of determination. She leaned across to the IV
pump. Laboriously, as if she had thought out the whole process, she grappled
with the stand, until she had lowered the pole containing her IV fluid to a
level that she could reach easily.
Jonquil
pierced the top of the bag with the syringe and let the narcotic drip gently
onto the top of the fluid and dropped the syringe. She took another and
repeated the process, over and over, until her supply was gone, being careful
not to mix the drug with the fluid already in the bag. It floated invisibly on
top of the solution, beginning the slow diffusion that would calmly and quietly
kill her.
Jonquil
dropped the empty syringes into the trash, covered it with tissue. She leaned
back, tired from the effort, still smiling her bitter smile. Combined with the
anti-hypertensive drug already in her blood, soon she would sleep, forever.
Jonquil
fished a cigarette from the pack, scratched a light from a kitchen match hidden
in her bathrobe, and settled back for her last smoke. Wreathed in its fumes,
she was, at last, content.
Joe
had to back up. A little of her rubbed off on him, enough to make him
understand the fear and desperation that made her demand a few quiet and
painless moments before she died. But once started backing up, he continued.
The doctors and nurses were still working on him; no one saw the monitors, saw
Jonquil’s exertion, smelled the smoke in her room. He struggled back, toward
his failing body, and found himself backtracking—across the ICU to the room of
La Curandera, through the wall, down and up through the wiring and plumbing in
a whirl of speed, as if he were being ejected, spewed forth from death’s warm
and comfortable consolation. The now faint and nearly invisible silver cord
grew taut and strong, pulling him backward, spinning him through space and time
(time, too?—Well, he wasn’t in charge). He slammed back into his body and
screamed in agony at the raw physicality of living.
A
clammy black plastic covered his mouth and nose, forcing air into his lungs.
Someone was trying to crush his chest, rhythmically pushing him down hard
against a wooden board that had appeared under his back. He felt the sting of
three large needles stuck hurriedly into his veins, not more than cursorily
taped to prevent accidental movement. They ground against the walls of the
blood vessels, abrading the soft tissue.
He
waved an arm to slap away the mask. One of the needles popped out of his skin,
but he did not stop. He was in a panic to warn them about Jonquil.
The
bag flew away.
“Hold
on!” someone shouted. “He’s awake.”
“Ow!”
Joe’s flailing arm caught a nurse in the nose. He tried to talk, but nothing
came out.
“Joe!”
J.C. called sharply. He knew that voice. “Settle down. We’re trying to help
you.”
“Tie
his arms down—he’s crazy!”
Strong
hands gripped his wrists and forced them against the sides of the bed. He was
naked, uncovered, and shivering with cold.
Joe
knew he was babbling at them, but it was so important to explain what was
happening down the hall.
The
message was clear in his mind, but his body refused to follow its orders. His
throat hurt, his tongue felt thick and uncooperative. Out of his mouth
came only nonsense sounds. He asked for water and it came out in baby talk:
“Wa-wa.” But J.C. understood.
“Can
he have a little water?” she asked Walters.
“I
guess a taste can’t hurt him, but only enough to moisten his lips.”
Jeannie
wet a washcloth and held it to Joe’s lips. He sucked greedily at it, until she
pulled it away. “That’s enough. Take it easy, Joe. Relax.”
He
nodded to her, not really seeing the others. They probably thought he was off
his nut before this; they would be certain, now. But he had to tell someone.
He
had never had such an important message to communicate in all his life. And
they were ignoring him.
“Hennessy—”
he managed to croak. “Jonquil—no one’s watching…Go there—”
“Valium,
ten milligrams, IM,” Walters ordered.
“Wait
a second,” Jeannie said. “He’s trying to say something.”
“That’s
why I ordered the valium.”
Up
close like this, J.C. smelled of coffee and shampoo and youth. Being alive
wasn’t so bad after all. Joe forced himself to speak again. He struggled
against the restraining hands.
“Hennessy—needs
help—bad,” he managed.
“Sssh,
Joe, come on now, lie back—you’ve had a bad time of it,” Jeannie said.
“Please…”
he said. The tears came easily, almost without his knowing it. “I couldn’t stop
her. Please look.”
Walters
stuck the hypo into Joe’s arm himself. Joe felt the bite of the needle in his
skin. The slight burn where the drug went into him made him weep even more.
They were knocking him out with his task unfinished. He was no damn good to
anyone like this. But the living was so sweet that he could not give it up. As
he slipped into hazy semi-consciousness, he thought that he was dying.
“It’s
all right, Joe,” someone nice said as his eyes fluttered shut and the world
darkened. “I’ll go look. You rest. I’ll be back to see you, I promise.”
He
fell asleep, weeping and dreaming of coffee, shampoo, and youth.
Chapter 17
Joe’s
plea was probably the nattering of a confused, sick old man, Jeannie thought.
But he had been so determined to tell her that she felt she ought to look in on
Jonquil. Another nurse should have covered Jeannie’s patient while she was
busy. But sometimes staff discipline went to blazes during a code. There were
too many vultures in this business, wanting a glimpse of the dying while it was
going on.
“Hoss,
go take a look at Jonquil, will you?” Joe was asleep now, and apparently stable
again. She covered him up to retain his body heat and wiped the tears from his
face.
“You
really think something’s wrong?”
“Just
go,” Jeannie ordered. She looked up from Joe to make sure that Hoss obeyed and
saw Wanda Sue just inside the doorway. “What are you looking at? Get back to
your job.”
“Well,
you don’t have to get all huffy about it,” the ward clerk whined. “I wasn’t
hurtin’ nothin’.”
“This
is none of your business. Go on.”
“Hmph.”
Wanda Sue sulked back to her desk. Jeannie finished wiping up Joe. Jeff Walters
was watching her.
“You
pack a mean punch when you want to,” he said.
“It
ticks me off,” Jeannie answered. “There’s more than one patient around here.”
Vivian was off at a staff meeting and had left Jeannie in charge. She did not
appreciate the extra responsibility, but as long as she had it, she would
handle it. The respiratory therapist was wheeling his equipment out of the
room, keeping silent in the face of Jeannie’s wrath. “And I don’t like
vultures.”
“Hey,
I’m just doing my job,” the tech said.
“I
didn’t mean you,” Jeannie apologized. “Thanks for your help.”
“Didn’t
do much, J.C.,” the tech said. “He came back on his own.”
“You
were here.”
“Yeah,
well…” He paused at the door, puzzled. “They usually don’t come back talking.
They don’t usually come back at all. He was out for a long time. Think he’s
OK?”
“We’ll
see when he wakes up,” Walters said. “At least he’s not a veggie. Don’t know
what’s keeping him alive, though.”
“Hell,
what keeps any of us alive?” The tech squeaked his cart-full of equipment down
the hall.
Jeannie
and Jeff Walters listened to the ungreased bearings until the corridor
swallowed up the sounds.
“You
seem different.”
“How
so?” Jeannie was transferring her code notes to Joe’s chart, while her memory
was still fresh and she knew what her notes meant.
“I’m
not sure.” Walters pushed his hair back from here it fell in his eyes. “God,
I’m soaking wet.”
“Me,
too,” Jeannie said. The breeze from the air conditioner chilled the sweat under
her blue scrubs.
“You do, you know. Seem different, I mean. More
sure of yourself.”
“Maybe I’m sick,” Jeannie snapped. She was tired of the
hospital, of patients, even Joe, of accusations, of doctors, of illness, of
crises, of dying. She wanted to get outside of the air-conditioned madhouse and
sit quietly in the warm sunshine for a month or two.
“You
don’t have to bite my head off,” Walters complained.
Her
memory of physiology classes told her that her fatigue and irritability were the leftovers of the adrenaline
rush of the code. The secretions of her adrenal glands used up her paltry
reserves of blood sugar, leaving her, after, tired and almost weepy. She had no
energy for chit-chat; she still had work to do, and she had to harbor her
depleted reserves.
“Sorry,”
she said, “I just don’t feel—”
Hoss
came back in.
“She’s
quiet,” he said, “but her monitor’s on the fritz and I can’t figure out what’s
wrong.”
Jeannie
checked the time—11:10. They had been with Joe for two hours during which no
one had been watching Jonquil. How long had her monitors been out?
“Keep
an eye on him,” she told the physician. It was against protocol for her to give
Walters orders, but she wanted Hoss to come along to show her what was wrong.
She did not want Joe unwatched just yet, although he seemed to be doing well.
She took Hoss by the arm and dragged him to Jonquil’s room.
Jonquil
was asleep, a faint smile on her lips. She was a beautiful woman when she was
content. She looked healthier than she had for days. Her skin was pink, her
respiration slow and even. Jeannie touched her lightly and felt a reassuring
warmth. Maybe the treatment they were giving her was working, at last.
The
problem with the monitors was a more difficult. They checked out fine with the
self-diagnostic program, but nothing came up on the screen. Her first suspicion
was that Jonquil had disconnected herself again, but a quick check showed the
leads in place. Jeannie traced the wires back to the small computer that
interpreted the electrical impulses, turned the stream of data into useful
information. There was no problem that she could see, but there was nothing on
the screen.
Her
gaze shifted around the room, looking for something wrong, something out of
place, but found nothing.
“I
told you it didn’t make any sense,” Hoss said. Jeannie shushed him, trying
mentally to trouble-shoot the system. The diagnostics ran OK, the baselines
were in place, but no data from Jonquil appeared on the screen. She turned the
unit around; sure enough, a single piece of wire dangled from the back of the
monitor. It had been cut.
She
traced it back to the computer. The cut should have triggered an auditory
alarm, but sometimes the alarms were touchy, going off with no real cause, or
worse, not sounding when they should. She pulled the jack from the monitor,
found a tiny folding knife in her pocket, and began stripping insulation from
the cut ends of the wire. It was coaxial cable, similar to what she used to
connect the components of her stereo, with a central core of solid wire,
surrounded by a plastic insulator, then by a braid of fine wire shielding. The
outer layer was gray plastic.
“Who
did it?” Hoss asked. Jeannie did not take time to answer. She was afraid to.
She hurried the work, slicing her thumb with her knife as she worked surgical
tape around the jury-rigged connection. She felt her heart rate jump as
suspicion grew, felt sweat break out anew on her skin, felt a throbbing in the
veins in her forehead grow nearly into pain as fresh secretions poured from her
adrenal glands into her blood stream.
She
fought the fear down, forcing her fingers to comply with her need. The
connection was sloppy, the white tape spotted with her blood, but it would have
to do. She plugged it into the jack at the back of the monitor.
As
she pushed the jack home, the alarm sounded.
Shit.
It
didn’t make sense. Jonquil was pink, healthy. Jeannie confirmed her first impression:
Jonquil was sleeping peacefully, even through the alarm.
Jonquil
turned blue-gray as Jeannie turned to look at her.
“Did
you see that?”
“Jesus,”
Jeannie breathed. “Get Walters in here.” Jonquil’s color had changed in
moments, as if the supply of oxygen to her organs and skin had been suddenly
cut back almost to nothing. She watched the rise and fall of Jonquil’s ribs; it
had become almost imperceptible. She found her fingers touching Jonquil’s
throat, searching for the carotid pulse. At first she thought it was absent,
but in a moment she had it. The rate was dead slow, under forty. The skin under
her fingers turned cold and clammy.
She
shouted at her patient, trying to rouse her, shaking her roughly at the
shoulder.
“Jonquil,
wake up! Talk to me!” Jeannie called. “Jonquil! Jonquil! Wake up, damnit!?
She
lifted Jonquil’s eyelid. The pupil was a constricted pinpoint of black. As she
watched, it dilated; the circle of black grew wide.
Hoss
reappeared in the doorway.
“Walters
is gone.”
“Code
Blue!” Jeannie called. She had once been in a play at the community theater;
one of the things she had learned there was how to project her voice. It rang
through the unit.
“Help
me get the board under her,” Jeannie said. She found the ambu-bag in her hands,
its outlet pressed to Jonquil’s face, her hands squeezing a steady pulse of air
into Jonquil’s failing lungs.
Hoss
had the backboard out of the closet and in position to slide under Jonquil.
Jeannie put down the bag long enough to grab Jonquil by the hip and roll her on
her side. Hoss slipped the board under her; Jeannie let her fall back on its
hard surface.
People
were beginning to show up at the door to the room, in response to Jeannie’s
call for help. A respiratory tech, the same one that Jeannie had accidentally
chewed out in Joe’s room, tried to push through the crowd with his cart.
“Comin’
through, people,” he sang out, “comin’ through.” The RT took over the ambu-bag,
leaving Jeannie free to run the code.
She
glanced at the screen showing the activity of Jonquil’s heart. The rate was
still below forty.
“Prissy-Jo,
get a pressure.” Jeannie moved to the head of the bed, where she could watched
everything that happened. “Maureen, run a strip. I can’t tell what the hell
she’s doing.”
The
flickering screen showed an anomalous pattern. She needed to have something in
her hand that she could study. While was waiting the few seconds it took the
EKG strip to come out of the printer, she spied Wanda Sue watching from the
door.
“Get
me a doctor in here—now!” She held out her hand for the strip. Maureen ripped
it from the printer and stared at it for a brief moment.
“Come
on,” Jeannie demanded.
“It’s
weird,” Maureen said as she handed it over.
Perhaps
two minutes had passed since Jeannie had called the code, and she had no idea
what was happening to her patient.
The
strip was no help. The symptoms were consistent with sinus bradycardia, a heart
rhythm that looked normal except that it was slow. But the strip from the EKG
showed what looked an awful lot like second degree heart block. Jeannie was out
of her depth and knew it. The carotid pulse was weak and slow. If Jonquil had
heart block, it should have been bounding, strong and rapid. It couldn’t be
ordinary bradycardia or heart block. It was something else, something she did
not recognize.
Time
slowed down, the way it does just before impact in an auto accident.
“Pressure’s
hard to read,” Prissy-Jo said. “I think it’s about sixty, systolic.”
Jeannie
felt all the eyes in the room on her, waiting for her decision. Where was a
damn doctor? Any damn doctor would do.
Her
decision could not wait. She felt Jonquil’s carotid pulse again, again looked
at the strip of paper in her hand. The pulse faltered under her fingertips. She
closed her eyes, trying to extend her understanding of what was wrong with
Jonquil through her fingers. The pulse faltered again. Jonquil stopped
breathing for a few seconds, then seemed to gasp for air in a series of deep
and rapid respirations.
“She’s
going into CSR,” the RT warned. Cheyne-Stokes respiration could be a sign of
either heart failure or central nervous system damage. Or it might mean nothing
at all; some people slept with CSR all their lives.
Jeannie
was scared. She had to decide; everyone was watching her. She didn’t understand
what was happening, but she could not stand still and let her patient die. She
made the only decision she could. At least it couldn’t hurt Jonquil. She had
to get her pressure up.
“Atropine,
one milligram,” she ordered, breaking through her paralysis. Better to do
something. Maureen was ready with the needle and injected the drug into
Jonquil’s IV line.
The
pulse under Jeannie’s fingers stopped.
“Start
compressions,” she ordered Hoss.
Where
was the goddamned doctor?
Jeannie
had to fight panic in herself. She was in charge; the others would follow her
lead. If she behaved badly, the others would, too. She breathed deeply a few
times, listening to the hiss of the ambu-bag, the rustling of Jonquil’s sheets,
the soft grunts from Hoss as he counted the rate of compressions he was
administering to Jonquil. The internal surge of adrenaline faded into the
background of heartbeat and breath. She was back in control.
Why
Jonquil was dying did not matter. The task was to respond to the observed
symptoms. Very low blood pressure and very slow—now absent—pulse meant
bradycardia. Why Jonquil was suffering them was irrelevant.
Algorithms
marched through Jeannie’s head. The treatment sequences had been tried, tested,
and revised, approved by the American Heart Association after years of
research. They were comforting, because they assured that, if she followed
them, she would do everything that could be done to save Jonquil’s life. They
took the error factor out of the treatment loop.
The
proper algorithm seemed to dance in front of her eyes, its branching paths
shining before her. She had already begun to follow it, with the initial dose
of atropine.
The
algorithm was a way of thinking, step by step, through mortal crisis. If
such-and-such happened, do this. Watch and see what happened next. The
following action depended on the response to the first, and so on until the
patient either recovered or died.
Atropine
came from belladonna, deadly nightshade. It was a poison. In small doses, it
slowed the heart rate, but in larger amounts, as Jonquil received, it made the
heart beat faster, or was supposed to. Jonquil would not notice the side
effects.
Jeannie
kept her hand on the pulse point in Jonquil’s neck. The pulse of CPR was weak
and hard to feel. If Jonquil’s heart took over, Jeannie would know immediately.
As yet, the only blood flowing through the woman on the bed was the blood Hoss
pushed through her.
Jeff
Walters came into the room.
“What’ve
you got?” he asked.
Jeannie
explained the situation, brought him up to date, relieved to give up the
primary responsibility. She had controlled her panicky reaction, but it was
still inside, waiting for her to relax.
“How
long since the first dose of atropine?” Walters asked.
Jeannie
checked her watch. She had automatically begun timing the events when the
alarms went off.
“Four
minutes.”
“Half
a milligram of atropine, IV push,” Walters ordered. Maureen again injected
Jonquil’s intravenous line. Everyone waited while Prissy-Jo pumped up the
pressure cuff.
“Nothing
yet.”
“Isoproterenol,”
Walters ordered. Maureen was ready with the infusion. “Ten micrograms per
minute.”
Isoproterenol
might stimulate Jonquil’s heart’s electrical activity, forcing it to conduct
the charges that were supposed to flow through the heart to pace its
contractions. The danger of the drug was that it might stimulate the heart too
much, and send it into uncontrolled activity, but it was a risk worth taking.
The alternative was death.
Jeannie
still held her hand on Jonquil’s neck. As the new drug entered her system, she
thought she felt a flutter under her fingers. It lasted only a second. Then it
returned, dancing at the edge of her sensitivity, a rhythm different from
Hoss’s steady pumping, the touch of a feather against sleeping skin, but
undeniably present.
“I’ve
got something,” she said. “Unsteady, but there’s something going on.”
“Stop
CPR,” Walters said. Hoss lifted his hands from Jonquil; he was breathing
heavily with the effort of pushing her blood, but he stayed poised to resume.
Jeannie
tried again to stretch her perception underneath Jonquil’s skin. Where was the
flutter? Something trembled underneath as she struggled to keep her touch light
on Jonquil’s carotid.
“There
it is!” she whispered, afraid to make too much sound that might chase away the
elusive pulse. It disappeared anyway. She shifted her position slightly to
change the angle at which her fingertips touched Jonquil’s throat.
Her
foot touched down on something round and went out from under her. Her hand came
away from Jonquil and reflexively grabbed the head of the bed.
“Come
on, Christopher!” Walters chided her. Jeannie steadied herself and again
touched Jonquil’s throat. The flutter was absent. “Nothing,” she said.
“Resume
CPR,” Walters said.
Hoss
was ready and resumed the same steady, punishing rhythm.
“Atropine
again, half a milligram.”
Maureen
pushed the drug through the IV line.
Jeannie
felt nothing but cold clammy skin under her fingers. Jonquil felt dead. She
glanced down to see what she had slipped on.
It
was a syringe.
She
bent to pick it up.
Walters
growled at her, but she ignored him.
Reality
seemed to shrink to the disposable hypodermic on the floor. Time stretched away
from her. She watched her hand reach through space as it traveled out in front
of her, as if she would never quite reach the syringe.
Then,
suddenly, it was as if her arm was a rubber band pulled taut and quickly
released. The syringe was in her hand, empty, the plunger pressed all the way
against the stop.
She
read the label, knowing what she would see. Joe had told her. The world was
rearranging itself, snapping back into place in a new pattern.
She
stood up.
Walters
was staring at her.
She
held out the syringe to him, letting it lie in her open palm.
He
took it.
“Morphine
sulfate, fifteen milligrams,” he read on the syringe. “Where did you get this?”
Jeannie
did not answer. She swept around the end of the bed, to the corner of the room
where she found the trash can. She dumped it on the floor. Seven more empty
syringes clattered on the tile.
Morphine
and Demerol—eight doses of the narcotics.
“Nalaxone,”
Walters ordered. “Point-four milligrams.”
There
was none in the room. Jonquil was not being treated with narcotics. There had
been no need for the narcotic antagonist.
Jeannie
could not go; she was running the code.
“Prissy-Jo.”
Jeannie returned to her position at the head of the bed. The nurse left her
station at the bedside and rushed off to the medication room to get the drug.
Prissy-Jo
returned, bearing a half-dozen 0.4 mg ampules of naloxone. She dumped them on
the bed. Maureen took one and injected it. The RT kept breathing Jonquil. Hoss
kept pumping blood through her, moving the narcotic antagonist toward her
brain, where, they hoped, it would replace the morphine and Demerol molecules
that were depressing her respiration.
After
two minutes with no effect, they repeated the dose. Two minutes more, a third
injection. Two minutes after the fourth try with no results, Jeff Walters
sighed and stepped back from the bed.
“Cover
her up.” He wiped the sweat from his forehead with the sleeve of his jacket.
“It’s over.”
The
respiratory technician gave Jonquil one last breath. Hoss stopped CPR, his
winded breathing the only sound now in the room. Maureen pulled the bed sheet
over Jonquil, restoring to the body the privacy it had not been allowed while
they had worked her over.
Walters
spoke, explaining his choice.
“We
could intubate her and put her on a ventilator,” he said, “but her heart has
given up. Even if we did get her jump-started, after all this time she’d be a
vegetable. We’ll let her go.”
No one disagreed with him. Death on the vent was a
long time coming, and the law said that once a patient was on the ventilator,
removal of life-support from a patient incapable of living without it was
homicide.
Hoss and Prissy-Jo returned to their patients. Maureen
offered to help Jeannie clean up and make the body presentable for Henry to
see, but Jeannie turned her down. She wanted to handle this one by herself.
With
everyone out of the room, Jeannie shut the door. The body was a mess; the room
was strewn with the debris of the code—paper wrappers, discarded syringes,
blood, urine, feces—and the evidence of Jonquil’s suicide, the eight empty
syringes.
“Pretty
bad, huh?”
Jeannie
jumped in fright and whirled to see Vivian standing in the doorway.
“You
scared me!”
“Sorry,
J.C. Didn’t mean to. You doing all right?”
“I’ll
be fine.”
“I
heard what happened, what you found.”
“It’s
a hell of a way to be proved innocent,” Jeannie said. “If I had just—”
“If
you had just what?” Vivian asked. “Watched her every minute of every day?”
“Closer
than I did,” Jeannie said. She felt the pain only in her voice. Inside, she was
as calm as thin ice.
With
one accord the two women began cleaning up the third. They removed the top
sheet and washed Jonquil down from head to toe. They removed the IV line, and,
as well as they could, cleansed the abrasions left on her face by the RT during
the code. They changed the bed linens, making neat hospital corners, and
remembered to tug on the sheet under Jonquil, so as to avoid leave wrinkles
that would cause bedsores on the skin of a living person. They picked up the
trash, saving out the empty syringes of Demerol and morphine, which would be
kept as evidence of the cause of death and put them into a clean biohazard bag
for safekeeping.
They were on the point of leaving the room when
Jeannie turned back.
She went to the window and opened it, to let in J.C.
and the boys.
Chapter 18
The
dark green-painted wood of the park bench had absorbed the heat of the sun
throughout the day. But J.C. was still cold. She sat wrapped in the thin cloth
of her lab jacket, numb with cold under the west Texas sun.
“Tell
me,” Father Diego had said. “Tell me about it. You can’t keep it locked inside
forever.”
It
was easier done than said.
The
tiny park lay across the highway from the hospital. The brick building squatted
four stories tall beyond the stream of speeding cars.
Vivian
did not let her leave the unit, not until her shift was over. Then the head
nurse must have called Father Diego, because the priest found her before she
could get off the hospital grounds.
“Get
out of my way,” Jeannie had shouted at him, trapped by the cleric’s body, which
stood immobile in front of her car, letting her nudge him with its front
bumper. Another car was parked behind her; her only way out was through the
priest, and he would not budge.
Trapped,
she had broken down, sitting in the broiling heat of her car, sweat mingling with
tears.
Diego
waited. When Jeannie’s resolve collapsed, he opened the door and drew her out
of the driver’s seat. He steered her through the traffic, across the four-lane
highway to the park bench. He cooed and clucked about her like a mother hen.
He
had infuriated her, until she saw what he was doing. Then she had dropped into
numbness like a pebble into a pool of water. He could say what he wanted. It
did not matter. Nothing mattered, except that her own actions had led to the
death of Jonquil Marie Hennessy.
Jeannie
probed the guilt as if it were the empty socket of a tooth. She wanted the pain
to flood her. She went over every thing she had done at work for the past three
days, since the morning she had arrived at work and left the narcotics locker
open and given Jonquil the opportunity to steal the medicines that she used to
kill herself.
The
whole hospital was in an uproar. No one blamed Jeannie, exactly, but she could
not escape her own failure to keep track of what was going on around her. If she
had not been late that morning; if she had just re-locked the cabinet right
away; if she had realized that Jonquil had been hoarding her medication—if, if,
if!
She
was aware of Diego’s presence beside her on the bench. She wanted to be by
herself, wanted to be as alone as she felt, but he refused to leave her. She
had always been the comforter, even for herself—especially!—and now he would
not leave her to herself, to heal, or at least to scab over the wound, in the
only way she knew how.
She
should have known. No matter how she rationalized, how much she worried the
situation, she always came back to the single fact that she was responsible for
Jonquil, on the first day and the third day, and should have seen the signs.
But she had been so wrapped up in her own problems that she had had no energy
to spare to understand what was going on in the mind of her patient. She could
not excuse herself—her job was to save life, not to let others end it.
Diego
was waiting. He would wait until the Devil learned to ice skate if necessary,
but he would, she knew, wait her out.
Something
moved her hand into his. His big paw wrapped around her tiny hand, cradling it,
still waiting.
Jeannie
had come into nursing through the traditional route. Her mother had been a nurse,
and the tradition of caring had been passed from one generation to another.
Even her sister was a nurse. It was a career where there would always be work.
Nursing
was like mothering. A person lay sick or hurt in bed. She needed help to get
well, hour-by-hour, often moment-by-moment. The physician stopped by the bed
once, perhaps twice, a day. But the nurse was there through the day or night,
doing the things that the patient, the child, could not do for herself—handling
the medicines, changing the linens, cleaning the bedpan, tracking the patient’s
progress, counseling her family, easing her loneliness, giving her a bath,
bringing her meals, relieving pain, watching out for complications, teaching
her how to cope with the illness. There was no end to the list of duties.
The
physician’s responsibility for the patient was acute; the nurse’s was chronic.
Blood
and shit were the nurse’s lot—not, usually, the blood of surgery, but that of
the aftermath, the detritus of daily care.
How
had she missed Jonquil’s preparations for suicide?
Death
was common on her unit. It came often as a blessing, a release from pain and
degradation. It was not supposed to come on purpose.
Jonquil
had not been so sick that the coming of death should have been welcomed. She
had had angina, but had not been in imminent danger of death. She could have
lived for years, with only occasional episodes.
She
must have been terribly afraid, and Jeannie had not seen it as different from a
patient’s normal fears. She had not taken the time to understand Jonquil. She
had treated her as the angina in Eleven, not as the person who was mortally
afraid of pain and disfigurement.
When
Jeannie was in nursing school, she had seen older nurses, more experienced than
she, who were callous toward their patients and treated them as inconveniences.
She had vowed never to allow herself to fall into that trap. But Jonquil, and
the pressures of the needs of the other patients, had tricked her out of her
resolve. Or maybe she had forgotten it, and become like the nurses she had
despised.
Maybe
it was time to quit.
Maybe
Jonquil’s legacy to the world should be the resignation of a nurse who had been
at it too long, who had lost the capacity for caring about the patients who
were difficult.
Jonquil
was not the first at whom Jeannie had been angry. She found herself, not
always, but disturbingly often, thinking How dare you have chest pain during
my shift—I already have too much to do!
Toward
Jonquil that thought had varied: How dare you be afraid of something as
small and easily controlled as angina. There are people here who are far sicker
than you.
Fear
would kill, too, if you did not ease it. Fear had killed Jonquil.
And
her nurse had allowed it to happen. Perhaps, if Jeannie had been more
perceptive, she would have tied Jonquil’s wandering to the missing narcotics.
Perhaps, if Jeannie had been more perceptive, not so tied up in her own
problems, she might have thought through Jonquil’s behavior and been on the
alert for a suicide attempt.
But
Jeannie had been too busy.
She
recoiled as something touched her face. She opened her eyes, to see Father
Diego holding a handkerchief in front of her, a look of dismay on his face.
“Sorry,”
he said. “I didn’t mean to frighten you. You were crying.”
He
had been wiping tears from her face. Her hand touched her cheek; it was still
wet.
“I
am?”
Diego
nodded.
Jeannie
would not meet his eyes. She watched a young couple, at the far end of the
park. They were sitting on another bench, holding each other, not talking.
There was a tightness about the set of the young man’s jaw that she recognized.
Someone they loved was dying. She had seen the look in her own unit too many
times to miss recognizing it now.
This
park was where the families came when the chapel was too small to contain their
imminent grief. She had seen the people from the windows of ICU, seen the
familiar faces of the family members singly or in pairs, using the open sky,
the trees and grass, the green wooden benches, as repositories of loneliness.
She
had not envisioned herself as one of them.
She
found her tears again. She turned to Diego, buried her face in his shoulder,
and wept, for herself, for Jonquil, for the fearful couple across the park.
She
felt the father’s arms around her, absorbing her shaking and her tears. It made
her angry with herself for her weakness, with him for his strength, and she
tried to break away. But Diego held her. She pounded her fists against his chest, and he absorbed that, too.
A
child in her father’s arms, she reached the peak of her fury, then slowly,
slowly descended. The sobs grew less racking, finally subsiding into wet
sniffles. The arms still held her, but now they were comforting. She felt the
priest’s hand stroking her hair, heard his voice murmuring words she had not
need to understand. The sounds were enough, the sounds that parents murmured
from the beginning of time. She giggled suddenly, and his enfolding arms
loosened.
“Are
you all right?”
She
nodded, still sniffling and giggling, still on the edge of more tears. She took
a deep breath, looking for equilibrium. The inrush of oxygen helped. She felt
the tears begin to dry as she got her emotional feet back under her.
Diego
held out his handkerchief. She took it, wiped away the remaining moisture, and blew
her nose. She started to hand it back to him, then realized what it contained.
“Keep
it,” he said, grinning. “In my line of work, you carry half a dozen
handkerchiefs. It’s a budget item; the diocese pays.”
“I’m
sorry,” Jeannie said.
“Don’t
apologize,” Diego replied. “You wouldn’t be human if it didn’t get to you.”
“That’s
too easy, damn it!” Jeannie said, rising from the bench. She took a few steps
away from him. She would not face him; she knew what his face would look like—a
mask of compassion, real enough, but practiced, and it infuriated her. She used
the same mask herself.
“I’m
sorry,” she repeated. “That was unfair. But it is too easy. I’m supposed
to be able to handle it.”
She
knew where her anger was coming from, but it was easier, safer, to direct it at
the priest than toward herself.
The
soft breeze was drying her tears.
Suddenly,
the priest’s hands were on her shoulders, roughly turning her around. She could
not help but face an anger that fed off her own.
“Don’t
give me that!” Diego commanded. His voice was rough with passionate anger. His
hands dug into her shoulders. They were stronger than Jeannie would have
expected in a man whose work was mainly sedentary. They were hurting her.
“You
can’t be perfect.” Diego’s voice was soft, but the words hissed across the
small intervening space. “Sometimes you fail. If you were always right, you’d
be a machine. Or a god.”
His
hands released her, almost flinging her away from him. Jeannie stumbled
slightly, then caught herself.
“Oh,
you’re good,” Diego went on, panting with exertion. “You’re as good as they
come, but you’ll kill yourself one of these days. Maybe it’ll be an ulcer,
maybe a heart attack, maybe it’ll just be despair, and you’ll find yourself not
caring any more, complaining all the time, cursing your patients for their
pain, and you’ll quit. You’ll give up because you can’t handle the fact the God
has arranged things in a way that doesn’t suit your image of yourself.
“There’s
death in this world, child, and you can’t stop it single-handedly. There’s pain
and grief. You can’t change it. There’s stupidity and greed. People aren’t
going to be the way you think they should be. The world is imperfect, and so
are the people in it—even you!”
“I
know that!”
“No,
you don’t,” Diego said. His face was red with anger, his breath shallow and
rapid. “You have been unjustly accused, you have been overworked, you have been
used and abused, and you allow nothing for yourself.”
“What—?”
“Shut
up and listen,” Diego said. His hand reached toward the bench and he lowered
himself gingerly on to it. “Sit down with me,” he said. “Please.”
Jeannie
obeyed, her body stiff with humiliation.
“I’ve
been in this business a long time,” Diego said. “I’ve learned a thing or two.
Bear with me; it’s important.
“You
do an awful lot of good. But no one is right all the time. No one can be. That
is reserved to God, and sometimes, I confess, I wonder about Him.
“Forgive
yourself for Jonquil. She made you angry. She tricked you. She tricked
everyone—the doctors, the other nurses, me, her husband—everyone. That’s what
she was trying to do, for reasons we’ll never know, and she succeeded.”
“But
she was in my care! I was responsible.”
“If
you were perfect, how long would she have lived?”
“If
she took care of herself, for years”
“Did
she take care of herself?”
Jeannie
hesitated, then admitted it. “No.”
“So
you couldn’t keep her from dying.”
Jeannie
shook her head, not trusting herself to speak.
“Forgive
yourself, then, J.C.,” Diego said, “for something you had no power to prevent.”
Jeannie
shivered, trying to deny the thought that found words even as she tried to push
it away. It welled up inside her and would not be denied.
“They
all die,” she whispered. “They all hurt so bad, and then they die. And I
can’t stop them.”
“You
can only love them,” Diego said softly.
“There’s
so much pain,” Jeannie said.
“But
not forever.” He held her hand in his. She accepted it like a life line.
“It
feels like forever,” she said.
“It’s
not,” Diego answered. “Everything ends, even the pain.”
“Promise?”
“I
promise,” Diego said. His voice seemed to catch in his throat. His hand escaped
her grip and flew to his chest. His face turned ashen. His mouth opened as he
seemed to gulp at the air.
Jeannie
grabbed him at the shoulders as he teetered, thrown off balance by the pain in
his chest, but she could not hold him against its power. Diego fell to the
grass, arching his back in agony, pulling Jeannie down with him.
His
face relaxed as the pain eased for a moment. “We have to stop meeting like
this,” he said weakly, smiling up into her face.
“No,”
she whispered, “not you, too.”
“Tell
her,” Diego said before the pain took him again. “Tell her that I remember, and
loved—love her.”
“Who?”
Jeannie asked, looking across the busy street to the hospital where, if she
could get him there, help would be waiting.
“Elena,”
he whispered. The agony returned, crossing his face as she watched him. Her
training took over; she blocked out the questions.
She
fumbled with his collar, not knowing how to release the sign of his vocation.
There had to be a button, or something. While she worried it off, she looked
for the young couple, and found them walking away, arms around each other.
“Help
me!” she shouted. They stopped, looking for the source of sound amid the
traffic noises. “Over here,” she yelled, “help!”
The
woman saw her and pointed. Both came running.
With
Diego’s collar now free, Jeannie felt for his pulse and assessed his breathing.
No air was getting through. She slipped her left hand under his neck and
lifted, forcing his head to tilt back. While waiting a moment to see whether he
would breathe spontaneously, she put the fingertips of her right hand lightly
against the groove in his throat by the side of his larynx. He was pulseless.
She
knelt down further, touching her hand to his chest, placing her ear directly in
front of his open mouth.
He
was breathless.
Jeannie
pinched his nostrils shut and covered his mouth with hers. She blew four rapid
breaths into him.
Something
that the public doesn’t know about CPR is that the patient, if enough life is
left in him, may vomit into the rescuer’s mouth. Diego followed the usual
pattern, perhaps because Jeannie’s breaths went partially into his stomach and
stirred up its half-digested contents. It was more of a belch than anything
else. Jeannie spat out the stomach matter, swabbed out Diego’s mouth with her
free hand so that he would be able to breathe if she could make him, and began
CPR.
By
this time the unhappy couple had arrived. While locating the right place on
Diego’s breast bone, she asked them, “Do you know CPR?”
“Uh-uh,”
the man said. “How can we help?”
Jeannie’s
answer was punctuated by the rapid rhythm of chest compressions.
“Across
the street, Emergency. Tell them—Father Diego—heart attack. Send help.”
The
combined effort of talking and pushing on Diego’s chest made her dizzy. She
bent over his face, lifted his neck again, pinched his nose, and pushed two
breaths into his lungs. She felt his chest expand, and she knew the breath had
gotten into him.
When
she looked up, the couple was still standing there.
“Go!”
she ordered, and without waiting to see if they obeyed, she again positioned
her hands, one atop the other, palms down, fingers interlaced, on Diego’s
breast bone, just above its lower end. Her arms were stiff, elbows locked.
It
took all her strength and weight to compress his chest. She forced herself to
count the breaths out loud, to keep track of the rhythm. The technical and
physical demands of the task almost kept her from thinking about what was
happening to her friend. She had to stop every so often to force air into his
lungs, or else the blood would move through him without effect. She had to keep
the oxygen moving into the cells of his heart and brain.
The
efficiency of CPR in transporting oxygen is only a fraction of that of a
working heart, maybe thirty percent of what Diego could have done on his own.
The external action had to pump the blood not only through his arteries, but
into the arterioles and capillaries, each vessel smaller and narrower than the
one before it, until the red cells were moving through vessels only wide enough
for two or three corpuscles at a time to pass. It was in these tiny, secret
places where the life-giving gas, hitchhiking on a molecule of hemoglobin,
would trade places with the poisons that each cell in the body produced as a by
product of living. CPR was a poor substitute for working lungs and heart, but
it was all Diego had.
Where
the hell was the ER team?
She
felt the crack as a rib snapped under her hand, below Diego’s skin. If
he woke up, he would be sore. No, when he woke up, she insisted to
herself. Maybe they would joke about it later on.
Sweat
dripped from her brow and her eyes onto her hands, which were white with tension.
The drops were lenses in the late afternoon sunshine, glinting with light,
sparkling against the paleness of her skin. The stubbly dry grass jabbed her knees and ankles through the
thin fabric of her scrubs, and she itched all over.
Over
and over she repeated the rhythm, her world constricted to the vision of her
hands clenched, fingers locked, the rasp of her voice counting, always
counting, the sudden change of body position as she bent to tilt his head and
push air into him, again and again, until suddenly there was someone kneeling
across Diego from her, someone in a wine-colored scrub suit, another face, an
ally.
He
picked up the rhythm she had established, talking to her in synchronization
with her rasping count. “Give-him-the-air-on-fif-teen,” he said.
“I’ll-take-his-chest.”
He
counted with her, to be certain. “Twelve-and-thir-teen, four-teen, fif-teen!”
Jeannie
knelt to perform the ritual of breath. She slipped in two strong breaths, then
stronger hands pulled her away from Diego and sat her down on the green grass.
She rolled to her back, panting from exertion, again aware of the prickle of
the dry grass through the thin cloth of her uniform, flooding her lungs with
the hot, dry Texas-afternoon air.
The
ER people worked on Diego. She heard them in the foreground of the normal
sounds of the road and the breeze, pumping his chest, squeezing the black
rubber bag, talking quickly but calmly with each other, digging in their boxes
for drugs, turning on the defibrillator, making it hum, then suddenly
discharge.
“We
have a conversion,” one of them said, and Jeannie smiled at the certain
congruity of it all.
An
ambulance bounced across the grass, grinding along in low gear. Doors opened,
confident, action-oriented young EMT’s jumped out, pulled a gurney out of the
back of the vehicle, wheeled it to Diego’s side, lifted him with practiced
movements onto its surface, strapped him on, wheeled priest and stretcher into
the back of the ambulance, low-geared off the grass and across the street.
Jeannie found herself in the ambulance, in the next-of-kin corner, out of the
way but close to the victim, close enough to hear his labored breathing, far
enough that she could not interfere with the work of the technicians.
It
was only a short ride, but Jeannie felt helpless through it. As they moved
Diego into the Emergency Room, she walked alongside his stretcher, like a wife
accompanying her wounded husband.
They
would not let her into the treatment room with him. She waited, under the
talking television in the lounge with the other loved ones, while the ER staff
worked on Diego. She tried to lose herself in the crises of world politics on
the news station, but felt relieved when one of the other loved ones asked to
switch over to a game show.
“Miss?”
the voice came. She did not look up.
“Do
you mind if I change the TV?”
Jeannie
shook her head, not trusting herself to speak, to open herself to anything but
the numbness she felt at Diego’s plight. It was as if he was abandoning her,
leaving her behind when she needed someone who understood, as if,
understanding, he were to be removed, into a place where he would test new
mysteries, leaving her still in a world she did not comprehend.
Her
questioner was Henry Halliburton Hennessy, Jonquil’s husband. Jonquil’s widower.
How
hard it was to wait, while others worked.
“I’m
sorry about Mrs. Hennessy,” she forced herself to say. She hoped that Henry
would leave her alone. “No one saw it coming.”
“May
I sit down?”
Jeannie
did not respond, or perhaps she nodded dumbly. Henry sat by her.
“I
was going to go home,” he said. He looked like a little lost boy. His voice was
flat. “Home, as always. Maybe I still will. She was always afraid, you know.”
The non sequitur came casually, without effort. Jeannie barely noticed the
conversational leap. “Afraid of everything. I should have seen it coming, I
guess, but I didn’t. The doctors told her what was coming, but she wouldn’t
change anything. Her heart was never any good. She was a hard-hearted woman.
Should have been named for something else than a flower. Maybe she’ll be
happier now. She never was, you know. There was always something wrong with
everything. Impossible to please. She never laughed the way you’re supposed to,
the way that makes you forget whatever might be wrong with your life, at least
for a moment, just a goddamn moment of sheer, forgetful pleasure. She never had
that. She could never let go of herself.
“God
help me, though, I loved her, even when she was at her bitchiest. Everyone
talked about her, and sympathized with me. I got more sympathy about Jonquil
than I knew what to do with. I hated it, but I understood it, too. She was hard
to live with, hard to love. She was so damned fragile, it was like living with
someone made of glass. She could cut me just by looking at me.
“Always
afraid. That’s what it was. She was afraid when I met her, back in high school,
she was afraid all the way through her life, and she was afraid when she killed
herself. She pushed at me, trying to make me mad enough to hit her sometimes.
Kind of to get it over with, you know? That’s why I think she killed
herself—there was no avoiding the dying, it was the waiting that she couldn’t
handle. She couldn’t stop herself being afraid except by going through with it.
I mean, look at how she did it. She never could have stuck a needle in her
skin, but through that tube it was OK. That wouldn’t hurt. It must have been as
if she were doing it to someone else, almost. And the drugs she used didn’t
make her die right away. She went to sleep. So maybe she didn’t face it after
all. Maybe she found a safe way out.”
During
all of his monologue, Henry had not looked at Jeannie or touched her. They
merely sat, side by side, each staring at the floor.
Suddenly,
he stood and stuck out his hand.
“Thank
you,” he said.
“For
what?” Jeannie asked dully.
“For
not doing with her what I did,” Henry said. His hand was still between them,
insistent, demanding.
“I
don’t understand.”
“You
tried to make her be a person,” he said. “For the past thirty years, I tried
and couldn’t do it. You couldn’t either, but you’re the about the only one who
made the effort. You didn’t let her get away with being the spoiled brat that
she usually was. You stood up to her, and it helped.”
“Not
enough.”
“Maybe
it was just too late,” Henry said. “I don’t know. But at least you gave her
that much respect. She didn’t get that from most people. So, thanks.”
He
bent, took her hand from her lap, and clasped it in his own. There were guilty
tears in his eyes as he smiled down at her. He, let her go and went hurriedly
through the door and out into the world, to disappear.
Jeannie
stood up for his exit from her life, respect for what he had tried to be
welling up in her from some unknown source.
A
voice called her name.
She
turned.
J.C. and the Boys by Alan David Justice is licensed under a
If you'd like to have a dead tree edition of J.C. and the Boys, you'll find it here.
There's another story, The Communion of the Saint, here.
And also here.
And as a free audiobook here.
A Hanging Offense begins here. It's the story of the Peasants' Revolt in England in 1381, set in the town of Saint Albans.
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